Individual
ELIZABETH KOZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
403 HIGHLAND RD, TIVERTON, RI 02878-4626
(401) 625-5484
Mailing address
403 HIGHLAND RD, TIVERTON, RI 02878-4626
(401) 625-5484
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
RI
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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